Related Experiment Video
Updated: Jul 14, 2026
05:31
Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Report on initial experience with transradial access for carotid artery stenting
Laszlo Pinter1, Catherine Cagiannos, Zoltan Ruzsa
1Department of Vascular Surgery and Endovascular Interventions, Augusta Hospital, Düsseldorf, Germany. drpinter@t-online.de
Journal of Vascular Surgery
|June 5, 2007
Summary
Carotid artery stenting using radial artery access is safe and effective for high-risk patients, achieving 90% procedural success with zero major complications. Pre-procedure imaging is recommended for optimal outcomes.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Technology
Background:
- Carotid artery stenting (CAS) is an emerging alternative to carotid endarterectomy for treating carotid artery disease.
- Radial artery access presents a potential alternative to traditional femoral access for CAS procedures.
Purpose of the Study:
- To report the initial experience and evaluate the safety and efficacy of using radial artery access for carotid artery stenting with cerebral protection.
- To assess procedural success rates, patient outcomes, and access site complications associated with radial artery access in CAS.
Main Methods:
- A retrospective study of 20 high-risk patients undergoing CAS with radial artery access and cerebral protection.
- Procedures were performed between March 2006 and December 2006.
- Outcomes evaluated included stroke, transient ischemic attacks, myocardial infarction, access site complications, procedural success, mobilization time, and analgesia requirements.
Main Results:
- 90% procedural success was achieved (18 out of 20 patients).
- The 30-day incidence of stroke, transient ischemic attacks, myocardial infarction, and death was 0%.
- Early mobilization (<2 hours) and same-day discharge were observed in all patients.
Conclusions:
- Carotid artery stenting using radial artery access is safe and effective, with acceptable morbidity and high technical success.
- Pre-procedural imaging of the aortic arch and radial artery duplex scans are recommended.
- Further research is needed to compare radial access with femoral access for carotid interventions.
Related Concept Videos
01:11Assessment of radial pulse
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
01:26Cardiac Catheterization IV: Nursing Management
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...